Gookomis Endaad

LBN: Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Gookomis Endaad is an health care organization with primary practice located at 3378 N. Schilleman Rd , Lac Du Flambeau WI 54538-0815. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Lac Du Flambeau Band Of Lake Superior Chippewa Indians can be contacted via phone (715) 388-0762, or through Ahlborn, Pamela via phone (715) 588-4422.

Contact Information

Primary practice address
3378 N. Schilleman Rd Lac Du Flambeau WI 54538-0815
Phone: (715) 388-0762
Fax: (715) 588-1889
Website:
Map and Directions
Authorized official contact:
Name: Ahlborn, Pamela
Phone: (715) 588-4422

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 3100 Wisconsin

Profile Details

NPI number 1669970729
LBN Legal business name Lac Du Flambeau Band Of Lake Superior Chippewa Indians
DBA Doing business as Gookomis Endaad
Authorized official Ahlborn, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2018
Last updated Sep 13th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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